Ok Kyun Kang, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

OK034453 Issued in MI

Practice address

9463 Holly Rd
Suite 102
Grand Blanc, MI 48439-8351

Phone

(810) 579-2600

Fax

(810) 579-2601

NPI assigned

Apr 3, 2006

Last updated

Jun 17, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nephrology & Internal Medicine PC

  dba Nephrology and Hypertension

  • Specialist
  • Flint, MI
  • NPI 1730190596
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1164484630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9463 HOLLY RD",
            "address_2": "SUITE 102",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398351",
            "telephone_number": "810-579-2600",
            "fax_number": "810-579-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9463 HOLLY RD",
            "address_2": "SUITE 102",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398351",
            "telephone_number": "810-579-2600",
            "fax_number": "810-579-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "OK",
        "middle_name": "KYUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "OK034453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly M. Kaikkonen
• Mirna Kakka, PHARMD
• Kara Kalinowski
• Amy Sue Kaluza
• Guru Kandasamy, MD
• Theresa Stephanie Kanous, OTR
• Caylee Kapa, BEHAVIOR TECHNICIAN
• Katelynn Karr, DO
• Steven C Karr, D.P.M.
• Ali Ahmed Karrar, M.D.

• Surgery Physician in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.